沙特阿拉伯艾哈萨初级卫生保健中心2型糖尿病患者血糖自我监测的依从性及其相关因素
Adherence to Self-Monitoring of Blood Glucose and Its Related Factors Among Type 2 Diabetic Patients Attending Al-Ahsa Primary Health Care Centers in Saudi Arabia.
作者信息
AlRasheed Afnan Y, Hashim Hajer, Alrofaie Hassan
机构信息
Family Medicine, Ministry of Health, Al-Hofuf, SAU.
Obstetrics and Gynecology, King Faisal University, Al-Hofuf, SAU.
出版信息
Cureus. 2024 Jul 27;16(7):e65545. doi: 10.7759/cureus.65545. eCollection 2024 Jul.
BACKGROUND
Self-monitoring of blood glucose (SMBG) is a crucial component of diabetes management, but adherence remains suboptimal. This study aimed to evaluate adherence to SMBG among type 2 diabetic patients in Al-Ahsa, Saudi Arabia.
METHODS
A cross-sectional study was conducted among 398 type 2 diabetic patients attending primary healthcare centers. Data were collected through face-to-face or virtual interviews and electronic health records. Adherence levels were categorized as low, moderate, and high.
RESULTS
The majority of participants exhibited moderate adherence to SMBG (58.5%), while 27.1% had low adherence, and 14.3% were highly adherent. The use of oral hypoglycemic medications and insulin injections was associated with higher adherence (p<0.001). Comorbidities, physical exercise, diet, frequency of medical visits, and attendance at diabetes education sessions did not significantly influence adherence.
CONCLUSIONS
Suboptimal adherence to SMBG was observed among type 2 diabetic patients in Al-Ahsa. Targeted interventions addressing individual barriers and integrating technology may improve SMBG adherence and diabetes management.
背景
血糖自我监测（SMBG）是糖尿病管理的关键组成部分，但依从性仍不理想。本研究旨在评估沙特阿拉伯艾哈萨地区2型糖尿病患者对血糖自我监测的依从性。
方法
对398名就诊于初级医疗保健中心的2型糖尿病患者进行了一项横断面研究。通过面对面或虚拟访谈以及电子健康记录收集数据。依从性水平分为低、中、高。
结果
大多数参与者对血糖自我监测表现出中等依从性（58.5%），而27.1%的人依从性低，14.3%的人依从性高。使用口服降糖药和胰岛素注射与更高的依从性相关（p<0.001）。合并症、体育锻炼、饮食、就诊频率和参加糖尿病教育课程对依从性没有显著影响。
结论
在艾哈萨地区的2型糖尿病患者中观察到血糖自我监测的依从性不理想。针对个体障碍并整合技术的有针对性干预措施可能会提高血糖自我监测的依从性和糖尿病管理水平。
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